| NPI | 1093918724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ID M-16522) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A114858) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2022-11-25 |